If you're a new client, please print and complete the following forms and bring them to your first therapy session.

• Disclosure statement
• HIPAA Notice & Acknowledgement 
• Fee Contract
• Client Information 
  
• Insurance Information

In addition to the forms listed above, if you would like me to coordinate care with another provider (for example: your psychiatrist, primary care physician, etc.), then you will also need to complete this form to authorize release of psychotherapy information and bring it with you to your first therapy session.

• Release of Information

Disclosure Statement
HIPAA Notice & Acknowledgement
Fee Contract
Client Information
Insurance Information
Release of Information

Note: To download Adobe Acrobat Reader for free, click here.